Individual provider · Type 1 NPI

Amy E. Fannin, APNP

Adult Health Nurse Practitioner · Fond Du Lac, WI

NPI number 1093124265 Active

Practice location

430 E Division St
Fond Du Lac, WI 54935-4560

Fax (920) 926-8953

Mailing address

420 E Division St
Fond Du Lac, WI 54935-4560

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X5904-33 (WI)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1093124265

Amy E. Fannin, APNP's National Provider Identifier is 1093124265, issued on Aug 12, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Fond Du Lac, WI. The record was last updated on Dec 21, 2020.